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2024 NCLEX GERIATRICS PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NCLEX GERIATRICS PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NCLEX GERIATRICSPRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS
The nurse is performing an assessment on an older client who is having
difficulty sleeping at night. Which statement by the client indicates the need
for further teaching regarding measures to improve sleep?
a) "I swim three times a week."
b) "I have stopped smoking cigars."
c) "I drink hot chocolate before bedtime."
d) "I read for 40 minutes before bedtime." - CORRECT-ANSWERSc) "I drink
hot chocolate before bedtime."
Many nonpharmacological sleep aids can be used to influence sleep.
However, the client should avoid caffeinated beverages and stimulants such
as tea, cola, and chocolate. The client should exercise regularly, because
exercise promotes sleep by burning off tension that accumulates during the
day. A 20-to 30-minute walk, swim, or bicycle ride three times a week is
helpful. The client should sleep on a bed with a firm mattress. Smoking and
alcohol should be avoided. The client should avoid large meals; peanuts,
beans, fruit, raw vegetables, and other foods that produce gas; and snacks
that are high in fat because they are difficult to digest.
- Test-Taking Strategy: Note the strategic words need for further teaching .
These words indicate a negative event query and ask you to select an option
that is an incorrect statement. Options A, B, and D are positive statements
indicating that the client understands the methods of improving sleep.
A patient who has experienced atrial fibrillation for the past 3 days is
admitted to the cardiac care unit. In addition to administering an
antidysrhythmia medication, the healthcare provider should anticipate which
of these orders?
a) Initiate a heparin infusion
b) Give atropine IV push
c) Prepare for immediate cardioversion
d) Prepare the pt for AV node ablation - CORRECT-ANSWERSa) Initiate a
heparin infusion
, The antidysrhythmic will help control rhythm and rate, so atropine (an
anticholinergic) is not indicated.
Cardioversion or ablation is usually reserved for patients who have not
responded to antidysrhythmic medications.
Because blood tends to pool and clot in the fibrillating atria, patients with
atrial fibrillation are at high risk for embolic stroke, so heparin will be given
The healthcare provider is caring for a patient with a diagnosis of
hypomagnesemia and a QT interval of 0.50 seconds. Which of these, if noted
on the cardiac monitor, is an indication the patient's condition is worsening?
a) Premature ventricular contractions
b) Narrow QRS complexes
c) An R-R interval of 1 second
d) A polymorphic ventricular tachycardia - CORRECT-ANSWERSd) A
polymorphic ventricular tachycardia
An R-R interval of 1111 second translates to a heart rate of 60606060 beats
per minute, which is a normal finding.
Narrow QRS complexes are associated with a variety of tachycardias, but is
not expected in this situation.
The patient's history of hypomagnesemia and prolonged QT interval puts the
patient at risk of developing torsades de pointes, a polymorphic ventricular
tachycardia that can potentially degenerate into a ventricular fibrillation.
A patient with a diagnosis of Wolff-Parkinson-White syndrome is undergoing
a catheter ablation procedure. When caring for the patient after the
procedure, which is the priority intervention?
a) Assist the patient to the bathroom to void
b) Auscultate apical pulse for a full minute every hour
c) Monitor insertion site and distal pulses
d) Assess level of consciousness - CORRECT-ANSWERSc) Monitor insertion
site and distal pulses
The extremity where the catheter was inserted will be immobilized initially,
so the patient will not be allowed out of bed to use the bathroom.
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